February 6, 2001
To the Editor, Pediatric Infectious Disease
Thank you for printing my letter on the promotion of sexual abstinence to teens.
That point of view is rarely given space. But I am amused and perhaps
flattered that it required rebuttal by three experts and saddened that you did
not seek (or could not find) anyone who agreed.
It is so obvious in my opinion that sex is intended for a relationship of
permanence and security that the failure to see that fact and promote it to
teens reflects some sort of blindness, whether that is from uncritical
acceptance of cultural norms or the desire to justify personal behavior.
Will all teens accept the message? No, but do we change our emphasis on not
smoking because some teens will smoke? Does this cross some forbidden border
between medicine and morality? Is it just meddling to tell an alcoholic he will
destroy himself and perhaps others if he continues? When we warn of natural
consequences and strongly promote the best choice, we are doing the
compassionate and courageous thing, even if we meet with resistance.
Do abstinence programs not work? That mantra is chanted on the basis of flawed
studies or faulty interpretations. Youth programs like "True Love Waits" which
promote a whole new subculture are very effective. The null studies are
critiqued by The Medical Institute for Sexual Health
(http://www.medinstitute.org/medical/). Links to resources are available from
Abstinence Clearing House (http://www.abstinence.net) and I have analyzed all
the objections to this approach that I have heard over the years
(http://www.rossolson.org).
Now after offending nearly everybody, I have one more point. The abstinence
programs work best on youth who are deeply religious. Why? Because they know
that there is more to life than the momentary pleasures they might find and they
call on a source of power beyond themselves. For some opponents of abstinence,
that clinches their opposition, but for others it will hopefully open their
minds to the possibility that the rules given by our Creator, which turn out to
be for our good, are another proof that He exists.
Ross Olson MD FAAP
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